Nevada Peer Support & Medicaid Guide

Nevada has a formal peer recovery support system that spans mental health, substance use, problem gambling, co-occurring conditions, youth peer support, and family peer support.

The state’s primary professional peer credential is the Peer Recovery Support Specialist, commonly abbreviated PRSS. Certification is currently administered by the Nevada Certification Board, which is administered by CASAT at the University of Nevada, Reno.

Nevada is particularly notable because state law regulates compensated peer recovery support practice. As of August 2026, a person generally must be at least 18 and hold the applicable PRSS certification to provide peer recovery support services for compensation as a regular part of their job duties, subject to the state’s provisions for interns.

Nevada Medicaid also has a dedicated Provider Type 97 for Peer Support Services, with distinct billing pathways for adult, youth, and family peer support. In 2026, Nevada Medicaid increased the H0038 service limitation to 208 units per calendar year, with prior authorization available for services exceeding that limit.

Nevada Peer Support Quick Facts

Category	Nevada overview
State Medicaid program	Nevada Medicaid
State behavioral health authority	Nevada Division of Public and Behavioral Health
Primary certification body	Nevada Certification Board
Primary peer credential	Peer Recovery Support Specialist
Abbreviation	PRSS
Entry credential	PRSS-I
Lived experience	Required
Full PRSS recovery requirement	At least 2 years
PRSS-I recovery requirement	At least 1 year
Foundational training	46 hours
Work experience	475 hours
Supervision for full PRSS	25 hours
Certification exam	IC&RC Peer Recovery Examination
Renewal	Every 2 years
Continuing education	20 hours
Ethics CE	6 hours
Supervisor credential	PRSS-S
Medicaid peer coverage	Yes
Medicaid peer provider type	Provider Type 97
Primary billing code	H0038
Adult peer support	Yes
Youth peer support	Yes
Family peer support	Yes
Problem gambling specialization	PRSS endorsement available
Trauma-informed specialization	PRSS endorsement available
Last reviewed	August 2026

What Is Peer Support in Nevada?

Nevada’s peer recovery model is based on people with lived experience using their recovery experience to provide hope, support, mentoring, and practical assistance to others navigating similar challenges.

The Nevada Certification Board defines a PRSS as someone with lived experience in recovery from:

Substance use
Problem gambling
Mental health challenges
Co-occurring challenges

Peers use that recovery experience to support other people working through their own recovery.

Peer support may include:

Recovery mentoring
Goal setting
Recovery planning
Self-advocacy
Resource navigation
Community connection
Wellness support
Coping strategies
Treatment engagement
Recovery capital development
Natural support development
Employment and education support
Housing resource navigation
Transition support
Group peer support
Family support
Youth peer support

Peer recovery support is distinct from psychotherapy and other clinical behavioral health treatment.

The defining expertise of the peer professional comes from lived experience combined with formal training, supervised experience, ethics, certification, and professional peer practice.

Peer Recovery Support Specialist

The Peer Recovery Support Specialist, or PRSS, is Nevada’s primary peer support credential.

The Nevada Certification Board describes PRSS professionals as individuals with lived experience in recovery who use their experience to provide support and hope to others.

Nevada’s certification structure includes:

PRSS-I
PRSS
PRSS-S
PRSS Problem Gambling Endorsement
PRSS Trauma-Informed Care Endorsement

This creates a career ladder from supervised entry-level peer practice through full certification and peer-specific supervision.

Nevada’s Legal Recognition of Peer Support

Nevada goes further than many states by addressing peer recovery support certification directly in state law.

Nevada Revised Statutes Chapter 433 defines:

Peer recovery support services
Peer recovery support specialist
Peer recovery support specialist intern
Peer recovery support specialist supervisor

As of July 1, 2026, Nevada law provides that a person generally cannot provide peer recovery support services for compensation as a regular part of their job duties unless the person is at least 18 and holds a valid PRSS certificate, subject to the provisions governing peer recovery support specialist interns.

Similarly, a person generally cannot supervise compensated peer recovery support services without the applicable supervisor certification.

This makes credential management particularly important for Nevada peer organizations.

PRSS-I

Nevada provides an entry pathway through the Peer Recovery Support Specialist Intern, or PRSS-I.

The intern pathway allows a person who has not yet completed all requirements for full PRSS certification to accumulate the experience necessary for certification under applicable conditions.

Nevada law explicitly recognizes the peer recovery support specialist intern role.

Current Nevada Certification Board requirements identify a minimum of one year in recovery for PRSS-I certification.

The PRSS-I pathway is particularly important because full PRSS certification requires substantial supervised work experience.

How to Become a Nevada PRSS

Nevada maintains a structured certification process.

Step 1: Meet the Lived Experience Requirement

Peer certification is based on lived recovery experience.

Nevada recognizes recovery from:

Mental health challenges
Substance use
Problem gambling
Co-occurring challenges

Step 2: Meet the Recovery Requirement

Current Nevada Certification Board requirements state that an applicant for full PRSS certification must have been in recovery for at least two years.

PRSS-I certification requires at least one year in recovery.

Step 3: Meet the Education Requirement

Applicants for full PRSS certification must have a:

High school diploma, or
Jurisdictionally recognized high school equivalency such as a GED or HiSET

Step 4: Complete Approved Foundational Training

Nevada requires completion of an approved PRSS foundational training.

The Nevada Certification Board currently identifies approved courses satisfying a 46-hour initial training requirement.

One approved option is CASAT’s Peer Support Specialist 101.

The training focuses on peer support principles including:

Respect
Shared responsibility
Mutuality
Lived experience
Recovery
Hope
Community connection

Step 5: Complete 475 Hours of Peer Work Experience

Full PRSS certification requires 475 hours of paid or volunteer peer recovery support work experience.

The experience must occur across the applicable IC&RC Peer Recovery domains and under a Nevada Certification Board Certified PRSS Supervisor.

This makes the PRSS-I pathway important for people entering Nevada’s peer workforce.

Step 6: Complete 25 Hours of Supervision

Applicants must complete 25 hours of supervision.

Current certification requirements specify at least five hours in each IC&RC Peer Recovery domain under a certified PRSS Supervisor.

Step 7: Pass the IC&RC Examination

Nevada requires applicants to pass the IC&RC Peer Recovery Examination.

The exam provides a standardized competency assessment for peer recovery professionals.

Step 8: Agree to the Peer Code of Ethics

Applicants must agree to follow the Nevada Certification Board’s peer recovery-specific Code of Ethics.

Step 9: Apply for Full PRSS Certification

After completing the applicable requirements, the applicant can complete the full PRSS certification process.

Current Nevada Certification Board fees include:

PRSS-I application: $35
PRSS application and testing: $165
Exam retake: $80

Fees may change, so applicants should verify current amounts before applying.

Nevada Residency Requirement

The Nevada Certification Board currently requires certified professionals to live and/or work in Nevada at least 51% of the time to obtain and maintain certification.

This is important for:

Remote peer organizations
Multi-state providers
Telehealth programs
National behavioral health organizations
Peers working across state lines

Organizations should not assume that a peer working remotely from another state automatically satisfies Nevada certification requirements.

Certification Renewal

Nevada PRSS certification renews every two years under current Nevada Certification Board requirements.

Renewal requires:

$100 renewal fee
20 hours of continuing education
Education within the IC&RC Peer Recovery domains
Six hours of ethics education

A late fee currently applies to certifications expired for 30 days.

Organizations should verify current fees and requirements directly with the certification board.

Continuing Education

Nevada requires 20 continuing education hours every two years.

At least six hours must address ethics.

Certification holders should maintain documentation showing:

Training organization
Training title
Date
Participant name
Attendance hours

Employers should track continuing education throughout the credential cycle rather than waiting until renewal.

Supervision

Supervision is a major component of Nevada’s peer certification structure.

A PRSS must complete supervised experience before full certification, and current Nevada Certification Board rules require a certified PRSS Supervisor through the peer’s first renewal, with meetings at least biweekly.

Supervision can address:

Peer ethics
Boundaries
Use of lived experience
Role fidelity
Recovery orientation
Documentation
Difficult interactions
Staff wellness
Professional development
Community resources
Crisis escalation
Scope of practice

Nevada also has a separate certification for people supervising peers.

Peer Recovery Support Specialist Supervisor

Nevada’s peer supervisor credential is the Peer Recovery Support Specialist Supervisor, or PRSS-S.

There are currently two pathways to supervisor certification.

Track A: Peers with Lived Experience

The applicant must:

Complete approved Peer Supervisor Training
Have been a certified PRSS for at least two years

Track B: Non-Peers

The applicant must complete approved Peer Supervisor Training and have either:

A bachelor’s degree in a social science plus two years working in behavioral health, or
A master’s degree in a social science plus one year working in behavioral health

Nevada Peer Supervisor Requirements

Current Nevada Certification Board requirements state that a PRSS-S may supervise a maximum of eight peers.

The supervisor must meet with each supervisee twice monthly. Meetings may occur individually or in a group setting.

A PRSS-S may also serve as a satellite peer supervisor.

If a PRSS-S is personally providing direct peer services to clients, that individual still needs supervision for their direct-service peer role.

This is an important distinction for small organizations where supervisors may also carry participant caseloads.

PRSS-S Renewal

Current supervisor recertification requires:

20 hours of continuing education
Education related to peer recovery/support supervision or IC&RC Peer Recovery domains
Six ethics hours
Renewal fee

Organizations should track supervisor certification separately from the underlying PRSS workforce.

Mental Health Peer Support

Nevada’s PRSS credential explicitly includes lived experience involving mental health recovery.

Mental health peer support may include:

Recovery mentoring
Wellness planning
Goal setting
Self-advocacy
Coping strategies
Community integration
Natural supports
Resource navigation
Treatment engagement
Transition support
Recovery education

Peers may work alongside clinical professionals while maintaining a distinct recovery-oriented role.

Substance Use Peer Support

Substance use recovery is also explicitly included within Nevada’s PRSS framework.

Peers working with people affected by substance use disorders may support:

Treatment engagement
Recovery planning
Recovery capital
Community connection
Mutual support
Housing resources
Employment resources
Transportation
Wellness
Self-advocacy
Transitions from treatment
Long-term recovery

Nevada Medicaid provider enrollment materials also identify Peer Recovery Support Specialist as a specialty within substance use treatment provider enrollment.

Problem Gambling Peer Support

Nevada is particularly notable for formally incorporating problem gambling into its peer recovery certification framework.

The Nevada Certification Board explicitly recognizes problem gambling lived experience within the PRSS role.

It also offers a dedicated Problem Gambling Endorsement for certified PRSS professionals.

PRSS Problem Gambling Endorsement

A certified PRSS may apply for the Problem Gambling Endorsement after holding PRSS certification for at least one year.

The endorsement requires completion of 15 hours of approved Problem Gambling Training.

The training covers areas including:

Gambling
Gaming
Gambling disorders
Peer recovery services for gambling-related problems

The endorsement is intended to expand Nevada’s problem gambling recovery workforce.

This specialization is particularly relevant in Nevada given the state’s unique gambling environment.

Trauma-Informed Care Endorsement

Nevada also offers a Trauma-Informed Care Endorsement for PRSS professionals.

A PRSS must have been certified for at least one year before applying.

The endorsement requires 20 hours of approved Trauma-Informed Care Training.

The training focuses on areas such as:

Mental health crisis
Trauma
Resilience
Appropriate referral resources
Trauma-informed interactions

This allows experienced peers to document additional specialized training while remaining within peer scope.

Is Peer Support Covered by Nevada Medicaid?

Yes.

Nevada Medicaid covers peer support services and has established Provider Type 97 specifically for Peer Support Services.

The program includes distinct billing pathways for:

Adult Peer Support Services
Family Peer Support Services
Youth Peer Support Services

This is an important feature of Nevada’s system because Medicaid peer support is not limited to one generic adult service.

Nevada Medicaid Provider Type 97

Nevada Medicaid’s Provider Type 97 is dedicated to Peer Support Services.

Current billing guidance includes adult, family, and youth peer support.

Organizations seeking reimbursement should separately evaluate:

Individual peer qualifications
Provider enrollment
Organizational enrollment
Service eligibility
Authorization
Documentation
Billing codes
Modifiers
Service limits

State certification and Medicaid billing eligibility are related but distinct compliance requirements.

Nevada Medicaid Peer Support Billing

Nevada Medicaid uses H0038 for peer support services.

Current Medicaid guidance describes H0038 as self-help/peer services billed per 15 minutes.

Nevada uses modifiers to distinguish among different peer services.

Service	Code
Adult individual peer support	H0038
Group peer support	H0038 HQ
Family peer support, client present	H0038 HR
Family peer support, client absent	H0038 HS
Group family peer support	H0038 HQ + HR
Youth peer support	H0038 HA
Group youth peer support	H0038 HQ + HA

Organizations should verify current fee schedules and billing guidance before submitting claims.

2026 Nevada Medicaid Service Limit

Nevada Medicaid made an important peer support billing change in 2026.

Effective for dates of service on or after February 25, 2026, Nevada Medicaid updated the H0038 service limitation to:

208 units per calendar year.

Because H0038 is billed in 15-minute units, 208 units equals 52 hours per calendar year.

Services may exceed the limit with prior authorization. Claims exceeding the limit without required authorization may deny.

The limitation applies across the specified H0038 peer support codes and modifiers, including adult, family, youth, and group peer support.

Adult Peer Support

Nevada Medicaid Provider Type 97 includes Adult Peer Support Services using H0038.

The service is billed in 15-minute units and requires prior authorization when applicable service limitations are exceeded.

Adult peer support may help eligible participants pursue:

Recovery
Wellness
Community integration
Self-advocacy
Behavioral health engagement
Recovery goals
Natural supports
Community resources

Exact Medicaid service requirements should be verified against current Medicaid Services Manual guidance.

Family Peer Support

Nevada Medicaid explicitly covers Family Peer Support Services.

Current Provider Type 97 billing guidance identifies:

H0038 HR

Family Peer Support Services with the client present.

H0038 HS

Family Peer Support Services without the client present.

H0038 HQ + HR

Group Family Peer Support Services.

This is operationally important because Nevada Medicaid distinguishes family peer support from general adult peer support.

Programs should configure documentation and billing workflows accordingly.

Youth Peer Support

Nevada Medicaid also explicitly recognizes Youth Peer Support Services.

Current billing guidance identifies:

H0038 HA

Individual Youth Peer Support Services.

H0038 HQ + HA

Group Youth Peer Support Services.

Programs serving youth should pay particular attention to:

Age requirements
Consent
Family involvement
Developmental appropriateness
Confidentiality
Documentation
Service planning
Mandatory reporting
Role boundaries

Active PRSS Certification and Medicaid

Nevada Medicaid has specifically emphasized that active PRSS certification is required when applicable for provider enrollment, reenrollment, or revalidation.

Organizations should therefore verify active certification rather than simply storing a historical training certificate.

Peer Support Within Behavioral Health Providers

Nevada peer services may also appear within broader behavioral health provider structures.

For example, current Provider Type 14 billing guidance includes H0038 individual and H0038 HQ group Peer-to-Peer Support Services for qualified behavioral health provider categories.

This means organizations should identify the exact Medicaid provider structure under which services are being delivered rather than assuming every peer service follows an identical enrollment and billing pathway.

Documentation for Nevada Peer Support

Peer documentation should establish what occurred during the service and how it supported the participant’s recovery goals.

A strong peer support note may include:

Participant identifier
Date
Start and end time
Duration
Location
Modality
Peer specialist
PRSS credential
Recovery goal addressed
Peer intervention or activity
Relevant use of lived experience
Skills addressed
Resources discussed
Natural supports
Participant response
Progress
Follow-up
Applicable service plan connection
Signature or attestation

For Medicaid services, documentation should also support the specific service and modifier being billed.

For example, systems should distinguish whether the encounter was:

Adult peer support
Youth peer support
Family peer support
Group peer support
Family support with participant present
Family support without participant present

Documentation Should Be

Accurate
Timely
Person-centered
Recovery-oriented
Strengths-based
Specific
Respectful
Relevant
Consistent with peer scope
Connected to participant goals
Consistent with payer requirements when billed

Documentation Should Avoid

Unsupported diagnoses
Clinical interpretations outside peer scope
Stigmatizing language
Copy-and-paste notes
Generic statements such as “provided peer support”
Unnecessary sensitive information
Documentation of services that did not occur
Personal opinions presented as clinical facts
Language written solely to justify reimbursement

Documentation and Billing Are Not the Same Thing

A completed peer support note does not automatically establish Medicaid reimbursement.

Payment may also depend on:

Medicaid eligibility
Covered service
Provider enrollment
Active peer credential
Service plan
Medical necessity
Correct H0038 modifier
Units
Service limits
Prior authorization
Documentation
Timely filing
Other program requirements

As of February 25, 2026, organizations should also monitor the 208-unit annual H0038 limit and identify when prior authorization is necessary.

Scope of Practice

Nevada peer recovery support professionals use lived experience to support another person’s recovery.

Appropriate activities may include:

Recovery mentoring
Sharing relevant lived experience
Goal setting
Recovery planning
Self-advocacy
Resource navigation
Community connection
Wellness support
Recovery education
Coping strategies
Natural support development
Treatment engagement
Recovery capital development
Peer groups
Transition support

The exact scope depends on:

Nevada law
Certification requirements
Medicaid requirements
Employer policy
Population
Funding source
Program type

Activities Generally Outside Peer Scope

Unless separately licensed, credentialed, and authorized, a PRSS generally should not:

Diagnose behavioral health disorders
Conduct psychotherapy
Prescribe medication
Provide medical advice
Perform clinical assessments requiring licensure
Independently modify clinical treatment
Make involuntary treatment decisions
Represent themselves as a licensed clinician
Determine Medicaid eligibility
Provide legal advice

Peers may participate in multidisciplinary behavioral health teams without becoming clinicians.

Nevada peer programs may handle highly sensitive behavioral health and substance use information.

Applicable requirements may include:

HIPAA
42 CFR Part 2
Nevada confidentiality law
Nevada Medicaid requirements
Organizational privacy policies
Consent and authorization requirements
Special protections involving minors

Peer professionals should receive role-specific training addressing:

What information they may access
What should be documented
What may be shared
Participant consent
Care-team communication
Substance use records
Youth and family information
Text messaging
Email
Telehealth
Social media
Crisis situations
Legal requests

Organizations should obtain qualified legal and compliance guidance for their specific services.

Where Peer Support Is Delivered in Nevada

Community Behavioral Health Programs

PRSS professionals may work within community behavioral health organizations providing mental health and substance use services.

Substance Use Treatment Programs

Peer Recovery Support Specialists may participate in substance use treatment and recovery settings supporting:

Treatment engagement
Recovery goals
Recovery capital
Community connections
Transitions
Mutual support

Recovery Community Organizations

Recovery organizations may use peers for:

Recovery coaching
Peer groups
Community activities
Resource navigation
Recovery planning
Advocacy
Education

Organizations should separately verify Medicaid provider eligibility if reimbursement is expected.

Mental Health Programs

Peers may support people living with mental health conditions through community-based recovery and wellness services.

Youth Programs

Youth peer support can be delivered through qualifying Nevada Medicaid programs using the applicable HA modifier.

Family Programs

Family peer support can support parents and caregivers navigating behavioral health systems on behalf of themselves or family members.

Hospitals and Emergency Departments

Peer workers may support:

Behavioral health engagement
Overdose response
Recovery connection
Discharge transitions
Treatment navigation
Follow-up

Crisis Services

Peer professionals may participate in appropriate crisis and post-crisis services when allowed by the applicable program.

Problem Gambling Programs

PRSS professionals with relevant lived experience and specialty training may support people experiencing gambling-related problems.

Nevada’s dedicated Problem Gambling Endorsement makes this an especially distinctive part of the state’s peer workforce.

Justice and Reentry Programs

Peer professionals may also support people affected by:

Incarceration
Reentry
Community supervision
Behavioral health diversion
Recovery court programs

Program-specific qualifications should be reviewed independently.

Starting a Peer Support Program in Nevada

Organizations developing peer services should first determine the population, payer, peer credential, and provider structure.

Step 1: Define the Population

Determine whether the program serves:

Adults
Youth
Families
People with mental health conditions
People with substance use disorders
People affected by problem gambling
People with co-occurring conditions
Other recovery populations

Step 2: Determine the Required Peer Credential

Determine whether staff need:

PRSS-I
PRSS
PRSS-S
Problem Gambling Endorsement
Trauma-Informed Care Endorsement

Step 3: Verify Certification

Track:

Credential
Certification number
Certification status
Expiration
Foundational training
Work experience
Supervision
Examination
Continuing education
Ethics hours
Endorsements

Step 4: Establish Supervision

For each peer, track:

Assigned PRSS-S
Supervisor credential
Supervision frequency
Supervision dates
Supervision hours
Issues addressed
First-renewal supervision requirement

Supervisors should also be monitored against Nevada’s maximum of eight peer supervisees.

Step 5: Determine Medicaid Provider Structure

If Medicaid reimbursement is expected, identify:

Provider type
Enrollment
Participant eligibility
Adult, youth, or family peer service
Applicable H0038 modifier
Service limits
Prior authorization
Documentation
Claims requirements

Step 6: Build the Service Workflow

Map:

Referral
Eligibility
Intake
Consent
Recovery goals
Peer assignment
Scheduling
Service delivery
Documentation
Supervision
Follow-up
Outcomes
Billing

Step 7: Configure Service-Specific Documentation

Templates should distinguish:

Adult peer support
Family peer support
Youth peer support
Individual services
Group services
Participant-present family services
Participant-absent family services

Step 8: Establish Role Boundaries

Develop policies covering:

Use of lived experience
Scope of practice
Confidentiality
Dual relationships
Transportation
Gifts
Social media
Communication outside work
Crisis escalation
Staff wellness
Role drift

Step 9: Configure Billing Controls

For Medicaid programs, systems should monitor:

H0038
Modifiers
15-minute units
Annual units
Prior authorization
Participant eligibility
Credential status
Documentation
Claim status

Step 10: Measure Outcomes

Potential outcomes include:

Engagement
Recovery goal progress
Recovery capital
Natural support development
Treatment engagement
Community integration
Housing stability
Employment
Education
Wellness
Participant satisfaction
Crisis utilization
Peer workforce retention
Documentation timeliness
Credential compliance

Common Challenges for Nevada Peer Programs

Certification Is Legally Significant

Nevada law specifically addresses certification for people providing peer recovery support services for compensation.

Organizations need reliable credential verification and expiration monitoring.

PRSS-I to PRSS Transition

Full certification requires 475 hours of experience and 25 hours of supervision.

Organizations employing interns need systems for tracking progress toward certification.

Supervisor Capacity

A Nevada PRSS-S may supervise no more than eight peers under current Nevada Certification Board requirements.

Workforce expansion may therefore require organizations to expand supervisor capacity as well.

Biweekly Supervision

Peers requiring supervision must meet applicable supervision requirements, including the current first-renewal biweekly supervision requirement.

Adult vs. Youth vs. Family Medicaid Services

Nevada Medicaid uses different modifiers for these services.

Incorrect service classification can create documentation and claims problems.

Annual Medicaid Service Limits

The current H0038 limit is 208 units per calendar year before prior authorization is required.

Programs need utilization tracking before participants reach the threshold.

Rural and Frontier Communities

Nevada’s geography creates access challenges outside major population centers.

Programs may need workflows supporting:

Mobile services
Remote supervision
Telehealth when permitted
Travel
Distributed staff
Community-based documentation

Documentation Burden

Peer specialists are primarily valuable because of their ability to develop relationships through shared experience.

Poorly designed documentation can reduce the amount of time available for participant support.

Role Drift

Peer specialists may gradually be assigned:

Generic case management
Transportation
Administrative work
Compliance monitoring
Clinical tasks

Organizations should protect the distinct lived-experience and recovery-oriented peer role.

Frequently Asked Questions

What is Nevada’s primary peer credential?

The Peer Recovery Support Specialist, or PRSS.

Who certifies Nevada PRSS professionals?

The Nevada Certification Board currently administers PRSS certification.

Is lived experience required?

Yes. Nevada’s PRSS model recognizes lived recovery experience involving mental health, substance use, problem gambling, and co-occurring challenges.

How long must someone be in recovery?

Current requirements specify at least two years for full PRSS certification and one year for PRSS-I.

How much initial training is required?

Current Nevada Certification Board materials identify a 46-hour foundational training requirement.

How much work experience is required?

Full PRSS certification requires 475 hours of paid or volunteer peer recovery support experience.

How much supervision is required for certification?

25 hours, including at least five hours in each IC&RC Peer Recovery domain.

Is there an exam?

Yes. Applicants must pass the IC&RC Peer Recovery Examination.

How often does PRSS certification renew?

Every two years under current Nevada Certification Board requirements.

How much continuing education is required?

20 hours per two-year renewal cycle, including six hours of ethics.

Does Nevada have a peer supervisor credential?

Yes. The PRSS-S is Nevada’s Peer Recovery Support Specialist Supervisor certification.

How many peers can a PRSS-S supervise?

Current requirements allow a maximum of eight.

Does Nevada recognize problem gambling peer support?

Yes. Problem gambling is explicitly included in the PRSS framework, and Nevada offers a dedicated Problem Gambling Endorsement.

Does Nevada Medicaid cover peer support?

Yes. Nevada Medicaid has a dedicated Provider Type 97 for Peer Support Services.

What is the primary Medicaid peer support code?

H0038.

How is H0038 billed?

Current Nevada Medicaid guidance uses 15-minute units.

Does Medicaid cover family peer support?

Yes. Nevada uses HR and HS modifiers for family peer support depending on whether the client is present.

Does Medicaid cover youth peer support?

Yes. Nevada uses the HA modifier for Youth Peer Support Services.

What is the current Medicaid H0038 limit?

Effective February 25, 2026, the service limitation is 208 units per calendar year, with prior authorization available to exceed the limit.

Can peer support be provided in groups?

Yes. Nevada Medicaid uses the HQ modifier for qualifying group peer services.

Can an individual PRSS independently bill Nevada Medicaid?

Do not assume so.

The peer credential and Medicaid provider enrollment requirements are separate. Organizations and individual workers should verify the exact Provider Type 97 or other applicable enrollment structure.

Does Nevada require active PRSS certification for Medicaid participation?

Nevada Medicaid has emphasized active certification requirements in provider enrollment and revalidation guidance.

Can a PRSS support substance use recovery?

Yes.

Can a PRSS support mental health recovery?

Yes.

Can a PRSS support problem gambling recovery?

Yes.

Are PRSS professionals clinicians?

No.

PRSS certification itself is a peer recovery credential rather than a clinical professional license.

Can peers write progress notes?

Yes.

Peer professionals may document services when required by Medicaid, an employer, program, payer, grant, or contract.

Documentation should remain consistent with the peer role.

Official Nevada Peer Support Resources

Nevada Certification Board

Official Nevada credentialing organization for Peer Recovery Support Specialists, PRSS interns, peer supervisors, endorsements, certification applications, renewal, ethics, and credential verification.